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General NPI Number Information
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NPI Number | 1508125212
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Entity Type | Individual
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Provider Name | MANILA P JOSHI D.D.S
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | EXCELSIS ROOT CANAL SPECIALTIES SUITE A-204
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City | CLINTON
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State | MD
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Zip | 20734
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Country | US
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Telephone | 240-244-1013
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Fax |
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Provider Business Mailing Address
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Address Line | 9123 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 201-835-4765
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Fax | 301-530-0614
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 16513
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License Number State | MD
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